Sex-based differences and aging in tactile function loss in persons with type 2 diabetes

Recent evidence of significant sex-based differences in the presentation of Type 2 Diabetes Mellitus (DM) and its complications has been found in humans, which may contribute to sex-based differences in reduced functionality and quality of life. Some functionality, such as tactile function of the ha...

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Veröffentlicht in:PloS one 2020-11, Vol.15 (11), p.e0242199-e0242199
Hauptverfasser: Gorniak, Stacey L, Ochoa, Nereyda, Cox, Lauren I Gulley, Khan, Aisha, Ansari, Sahifah, Thames, Beatriz, Ray, Haley, Lu, Yoshimi F, Hibino, Hidetaka, Watson, Nikita, Dougherty, Patrick M
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container_issue 11
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container_title PloS one
container_volume 15
creator Gorniak, Stacey L
Ochoa, Nereyda
Cox, Lauren I Gulley
Khan, Aisha
Ansari, Sahifah
Thames, Beatriz
Ray, Haley
Lu, Yoshimi F
Hibino, Hidetaka
Watson, Nikita
Dougherty, Patrick M
description Recent evidence of significant sex-based differences in the presentation of Type 2 Diabetes Mellitus (DM) and its complications has been found in humans, which may contribute to sex-based differences in reduced functionality and quality of life. Some functionality, such as tactile function of the hands, has significant direct impact on quality of life. The purpose of the current study was to explore the impact of DM and sex on tactile function, with consideration of variability in health state measures. A case-control single time point observational study from 2012-2020 in an ethnically diverse population-based community setting. The sample consists of 132 adult individuals: 70 independent community dwelling persons with DM (PwDM) and 62 age- and sex-matched controls (42 males and 90 females in total). The Semmes-Weinstein monofilament test was used to evaluate tactile sensation of the hands. Tactile sensation thresholds were adversely impacted by sex, age, degree of handedness, high A1c, diagnosis of DM, and neuropathy. Overall, strongly right-handed older adult males with poorly controlled DM and neuropathy possessed the poorest tactile discrimination thresholds. When self-identified minority status was included in a secondary analysis, DM diagnosis was no longer significant; negative impacts of age, neuropathy, degree of handedness, and high A1c remained significant. The data indicate significant impacts of male sex, age, degree of handedness, self-identified minority status, and metabolic health on the development of poor tactile sensation. This combination of modifiable and non-modifiable factors are important considerations in the monitoring and treatment of DM complications.
doi_str_mv 10.1371/journal.pone.0242199
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When self-identified minority status was included in a secondary analysis, DM diagnosis was no longer significant; negative impacts of age, neuropathy, degree of handedness, and high A1c remained significant. The data indicate significant impacts of male sex, age, degree of handedness, self-identified minority status, and metabolic health on the development of poor tactile sensation. 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Some functionality, such as tactile function of the hands, has significant direct impact on quality of life. The purpose of the current study was to explore the impact of DM and sex on tactile function, with consideration of variability in health state measures. A case-control single time point observational study from 2012-2020 in an ethnically diverse population-based community setting. The sample consists of 132 adult individuals: 70 independent community dwelling persons with DM (PwDM) and 62 age- and sex-matched controls (42 males and 90 females in total). The Semmes-Weinstein monofilament test was used to evaluate tactile sensation of the hands. Tactile sensation thresholds were adversely impacted by sex, age, degree of handedness, high A1c, diagnosis of DM, and neuropathy. Overall, strongly right-handed older adult males with poorly controlled DM and neuropathy possessed the poorest tactile discrimination thresholds. When self-identified minority status was included in a secondary analysis, DM diagnosis was no longer significant; negative impacts of age, neuropathy, degree of handedness, and high A1c remained significant. The data indicate significant impacts of male sex, age, degree of handedness, self-identified minority status, and metabolic health on the development of poor tactile sensation. This combination of modifiable and non-modifiable factors are important considerations in the monitoring and treatment of DM complications.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33180801</pmid><doi>10.1371/journal.pone.0242199</doi><tpages>e0242199</tpages><orcidid>https://orcid.org/0000-0002-8192-850X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Aged
Aging
Aging - physiology
Biology and Life Sciences
Blood pressure
Care and treatment
Case-Control Studies
Complications
Complications and side effects
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - physiopathology
Diabetic neuropathy
Diagnosis
Disease age factors
Disease sex factors
Female
Females
Glucose
Handedness
Hemoglobin
Human performance
Humans
Male
Males
Medicine and Health Sciences
Metabolism
Middle Aged
Neuropathy
Observational studies
Observations
Older people
Peripheral neuropathy
Quality of life
Research design
Risk factors
Secondary analysis
Sensory disorders
Sensory Thresholds
Sex
Sex Factors
Sexes
Social Sciences
Tactile discrimination
Testosterone
Thresholds
Touch
Touch Perception
Type 2 diabetes
title Sex-based differences and aging in tactile function loss in persons with type 2 diabetes
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